Nursing governance and its impact on the quality of organization of health care services for older people in the Catalan region of Spain
Abstract
Introduction: Nursing governance consists of decisions made by nursing leaders in health organizations that respond to the needs of interest groups. Nursing leaders in the realm of social-health or intermediate care in Catalonia (Spain) were studied.
Objective: Analyze the governance variables in the social-health realm and their relationship with the quality perceived by patients.
Methodology: Governance data was collected through a nursing governance questionnaire and patient satisfaction measured through Plaensa© (CatSalut 2013 patient satisfaction surveys). The consent of participants and approval by a bioethics committee were obtained. The statistical programs SPSS (from IBM) and Atlas.ti were used for data analysis.
Results: Thirty-four (43.6%) nurses responded to the nursing governance questionnaire and nine to the Plaensa©. Information was collected about age, education, gender, years of experience and number of beds. The data collection took place between September 2014 and April 2015. The data was analyzed with a significance level of 5% and through nonparametric statistical tests. Correlations were found between patient satisfaction (Spearman) and: “Quality influences decisions” (p=0.006), “Research and update knowledge” (p=0.043), and “Develop strategic communication” (p=0.043). These results were similar to those obtained in studies such as Magnet Model®.
Conclusions: It would be worth delving deeper into the topics of governance, quality, knowledge, and communication through qualitative research. In the view of nurses, decision-making experience, power, representativeness, and care are inter-related, despite participation.
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